Active NPI
Lee Michael Mandel, MD
- Plastic Surgery within the Head & Neck (Otolaryngology) Physician
- Hollywood, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery within the Head & Neck (Otolaryngology) Physician
- License
- ME67643
- Practice address
- 4400 Sheridan St
Hollywood, FL 33021-3514 - Phone
- (954) 983-1211
- NPI assigned
- Jul 12, 2006
- Last updated
- Feb 27, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery within the Head & Neck (Otolaryngology) Physician | 207YX0007X | ME67643 | FL | Primary |
Addresses
Primary practice location
4400 Sheridan St
Hollywood, FL 33021-3514
Mailing address
4400 Sheridan St
Hollywood, FL 33021-3514
Phone (954) 983-1211
Other identifiers 14
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 377302700 | Medicaid | FL | |
| 5972804007 | Other | FL | CIGNA |
| 923524 | Other | FL | FIRST HEALTH PPO |
| 35001 | Other | FL | VISTA OF SOUTH FLORIDA |
| 809 | Other | FL | TOTAL HEALTH CHOICE |
| 2103463 | Other | FL | AETNA |
| 26580 | Other | FL | NEIGHBORHOOD HEALTH |
| 650799846 | Other | FL | BEECHSTREET |
| 27456 | Other | FL | BLUE CROSS BLUE SHIELD |
| 650799846 | Other | FL | SOUTHCARE |
| 7541 | Other | FL | DIMENSIONS |
| 27456T | Other | FL | MEDICARE |
| 650799846 | Other | FL | PREFERRED HEALTH NETWORK |
| 0799828 | Other | FL | GHI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1301 E Broward Blvd
Suite 240
Fort Lauderdale, FL 33301-2111
Phone (954) 983-1211
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME67643 | FL | MD | Plastic Surgery within the Head & Neck (Otolaryngology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tartell & Mandel MD LLC | Plastic Surgery Within the Head & Neck | Current | Accepting new patients |
| Florida Sinus & Snoring Specialists, LLC | Current | Accepting new patients | |
| Ear, Nose & Throat Associates of New York,P.C. | Past | Accepting new patients | |
| ENT and Allergy Associates LLP | Plastic Surgery Within the Head & Neck | Past | Accepting new patients |
| Pain Management Physicians PLLC | Past | Accepting new patients |
Locations
6421 Congress Ave
Ste 113
Boca Raton, FL 33487
Phone (561) 338-3267
1301 E Broward Blvd
Ste 240
Ft Lauderdale, FL 33301
Phone (954) 883-9449
4400 Sheridan St
Hollywood, FL 33021
Phone (954) 963-3500
100 NW 82nd Ave
Ste 104
Plantation, FL 33324
Phone (954) 236-0200
900 S Pine Island Rd
Ste 100
Plantation, FL 33324
Phone (954) 587-4218
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Otolaryngology/Facial Plastic Surgery Physician
- Fort Lauderdale, FL
- NPI 1902593627
-
dba South Florida Sinus and Allergy Center
- Otolaryngic Allergy Physician
- Plantation, FL
- NPI 1790719649
Plastic Surgery Within the Head & Neck
-
- Otolaryngic Allergy Physician
- Hollywood, FL
- NPI 1508169962
-
- Facial Plastic Surgery Physician
- Fresh Meadows, NY
- NPI 1124079769
-
- Otolaryngology Physician
- Tarrytown, NY
- NPI 1376598326
Plastic Surgery Within the Head & Neck
-
- Pain Medicine (Anesthesiology) Physician
- Flushing, NY
- NPI 1417970336
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330300800000",
"number": "1851326029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4400 SHERIDAN ST",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330213514",
"telephone_number": "954-983-1211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4400 SHERIDAN ST",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330213514",
"telephone_number": "954-983-1211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANDEL",
"first_name": "LEE",
"middle_name": "MICHAEL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-12",
"last_updated": "2012-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "207YX0007X",
"taxonomy_group": "",
"desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
"state": "FL",
"license": "ME67643",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "377302700",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "5972804007",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH PPO",
"identifier": "923524",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VISTA OF SOUTH FLORIDA",
"identifier": "35001",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TOTAL HEALTH CHOICE",
"identifier": "809",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2103463",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD HEALTH",
"identifier": "26580",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEECHSTREET",
"identifier": "650799846",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "27456",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOUTHCARE",
"identifier": "650799846",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DIMENSIONS",
"identifier": "7541",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "27456T",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED HEALTH NETWORK",
"identifier": "650799846",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "0799828",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hollywood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.